Transcript

1.
ECT
Dr.D.Raj Kiran.

2.
What is ECT
• ECT- Application of electric current to the
head with the aim of inducing a controlled
tonic-clonic seizure, usually at regular
intervals, to achieve an improvement in an
abnormal mental state.
• Modified ECT- Induction of cerebral
seizure under anaesthesia.
• Unmodified ECT- Induction of cerebral
seizure without anaesthesia.

3.
History
• In 16th century, the
Swiss alchemist
Paracelsus gave
camphor by mouth to
induce convulsions and
“cure lunacy.”
• In 18th & 19th century,
several cases of
convulsions induced by
chemical means were
documented.

4.
History
• Manfred Sakel was the
developer of insulin
shock therapy.
• He noted that insulininduced coma and
convulsions had a change
in the mental state of
drug addicts and
psychotics.
• Complications were high.

5.
History
• In 1934, Lazlo Meduna, a
Hungarian psychiatrist,
injected camphor in oil
into a catatonic
schizophrenia, causing
grand mal seizure.
• After series of such
treatments pts recovered.
• Later Camphor was
replaced by
pentylenetetrazol.

7.
Birth of ECT
• Italian scientists, Cerletti and Bini
subsequently succeeded in applying
electricity directly to the human scalp.
• In 1938, they treated an unidentified
39-year-old man who was found
delusional in a train station.
• He recovered fully after 11 treatments
without adverse Effects.